NPI Profile for BETHANY KINGSBERRY in PORTLAND, OR.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Gerontology |
363LG0600X | 50 | Nurse Practitioner | |
Acute Care |
363LA2100X | 50 | Nurse Practitioner | |
Nurse Practitioner |
363L00000X | 50 | Nurse Practitioner | |
Registered Nurse |
163W00000X | |||
Registered Nurse First Assistant |
163WR0006X |
| NPI # | 1770045767 |
|
| Status | Active | |
| Credentials | APRN-NP | |
| Entity | Individual | |
| Enumeration date | 04/01/2019 | |
| Last updated | 03/04/2025 - More than a year ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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BETHANY KINGSBERRY
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